Louis Lemberg, M.D., F.A.C.P.; Agustin Castellanos Jr., M.D.; Azucena G. Arcebal, M.D.
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It is frequently stated that beta-blocking agents are contraindicated in arrhythmias occurring during acute myocardial infarction. This is a report on 12 patients in a coronary care unit who developed supraventricular arrhythmias during the first 5 days of an acute myocardial infarction. Five had atrial fibrillation; three, atrial flutter; two, atrial tachycardia; and two, junctional tachycardia. A total of 16 episodes were treated. In all patients the ventricular rates exceeded 140/min. Intravenous propranolol was given at a rate of 0.5 mg every 2 min until sinus rhythm was established. All patients were in moderate to severe congestive heart failure, but
Lemberg L, Castellanos A, Arcebal AG. Use of Propranolol in a Coronary Care Unit.. Ann Intern Med. ;70:1078–1079. doi: 10.7326/0003-4819-70-5-1078_3
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Published: Ann Intern Med. 1969;70(5):1078-1079.
Cardiology, Coronary Risk Factors, Hypertension, Infectious Disease, Nephrology.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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